Question 1

A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting?

A) Narcotics are banned in private settings and cannot be used.
B) Narcotics can be used in the hospital after obtaining written approval from the Joint Commission for Accreditation of Hospitals and Healthcare Organizations (JCAHO).
C) Narcotics to be used in the hospital are dispensed only with a written prescription.
D) Narcotics can be used in the hospital according to patient preferences.

Question 2

A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate?

A) The drug will decrease in effectiveness
B) The drug will increase in effectiveness
C) There will be a steady state with no anticipated changes
D) The drug will cause excessive therapeutic effects even when administered in small doses.

Question 3

A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient’s care?

A) Incontinence, Functional, related to adverse effects of drug therapy
B) Risk for Fluid Volume Deficit related to adverse effects of drug therapy
C) Confusion, Acute, related to adverse effects of drug therapy
D) Acute Pain, Headache, related to adverse effects of drug therapy

Question 4

A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of

A) nonpharmacologic interventions combined with an exercise program.
B) drug therapy with bromocriptine (Parlodel).
C) aggressive respiratory assistance
D) no nursing action unless the patient experiences a “bad trip.”

Question 5

A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse’s priority assessments?

A) Respiratory rate, seizure activity, and electrolytes
B) Pain intensity, respiratory rate, and level of consciousness
C) Liver function studies, pain intensity, and blood glucose level
D) Respiratory rate, pain intensity, and mental status

Part 1 

Question 1

A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting?

A) Narcotics are banned in private settings and cannot be used.
B) Narcotics can be used in the hospital after obtaining written approval from the Joint Commission for Accreditation of Hospitals and Healthcare Organizations (JCAHO).
C) Narcotics to be used in the hospital are dispensed only with a written prescription.
D) Narcotics can be used in the hospital according to patient preferences.

Question 2

A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate?

A) The drug will decrease in effectiveness
B) The drug will increase in effectiveness
C) There will be a steady state with no anticipated changes
D) The drug will cause excessive therapeutic effects even when administered in small doses.

Question 3

A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient’s care?

A) Incontinence, Functional, related to adverse effects of drug therapy
B) Risk for Fluid Volume Deficit related to adverse effects of drug therapy
C) Confusion, Acute, related to adverse effects of drug therapy
D) Acute Pain, Headache, related to adverse effects of drug therapy

Question 4

A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of

A) nonpharmacologic interventions combined with an exercise program.
B) drug therapy with bromocriptine (Parlodel).
C) aggressive respiratory assistance
D) no nursing action unless the patient experiences a “bad trip.”

Question 5

A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse’s priority assessments?

A) Respiratory rate, seizure activity, and electrolytes
B) Pain intensity, respiratory rate, and level of consciousness
C) Liver function studies, pain intensity, and blood glucose level
D) Respiratory rate, pain intensity, and mental status

Question 6

A patient has been prescribed an oral drug that is known to have a high first-pass effect. Which of the following measures has the potential to increase the amount of the free drug that is available to body cells?

A) Giving the drug with food in order to delay absorption
B) Administering the drug in small, frequent doses
C) Limiting the patient’s protein intake and encouraging fluids
D) Administering the drug intravenously rather than orally

Question 1

How can liver and renal diseases result in abnormal uterine bleeding (AUB)?

They cause an imbalance in platelet aggregation.

They result in an inability to adequately clear estrogen from the body.

They cause thyroid dysfunction, which leads to bleeding abnormalities.

They result in elevated prolactin levels, which lead to bleeding abnormalities

Question 2

What is now thought to be the most important causative agent in cervical cancer?

PCOS

Vulvar cancer

Herpes simplex

HPV

Question 3

An initial or primary genital herpes infection characteristically lasts about:

1 week
3 weeks

1 month

6 weeks

Question 4

Which contraceptive methods have inherent failure rates?

None

Some

All

All except sterilization

Question 5

Why do adolescents have the highest risk of developing pelvic inflammatory disease (PID)?

They have the highest risk for bacterial vaginosis.

They are the least at risk for developing other STIs.

They are the most sexually active.

They have decreased immunity to infectious organisms

QUESTION 1

A noncompliant patient states, “Why do you want me to put this poison in my body?” Identify the best response made by the psychiatric-mental health nurse practitioner (PMHNP).

A. “You have to take your medication to become stable.”

B.”Most medications will increase the number of neurotransmitters that you already have in the brain.”

C.”Most medications used in treatment are either increasing or decreasing neurotransmitters that your body already has.”

D.”Why do you believe that your medication is poison?”

QUESTION 2

Which statement about neurotransmitters and medications is true?

A. Natural neurotransmitters such as endorphins have been discovered after the development of medications.

B. Some medications were developed after the discovery and known action of the neurotransmitters in the brain.

C. Neurotransmitters receive messages from most medications.

D. The neurotransmitter serotonin is directly linked to depression. Following this discovery, the antidepressant Prozac was developed.

QUESTION 3

When an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP’s best response would be:

A. “In an extreme case such as yours, more than one medication is often needed.”

B. “Due to the ineffectiveness of your current medication, we need to try something else that can possibly potentiate its effects.

C. “Medications are often specific to the neurotransmitter(s) they are affecting and, due to more than one neurotransmitter involvement, it is often necessary to use more than one medication to improve symptoms.”

D. “I understand your concern. We can discontinue your current medication and switch to a different one that may better manage your symptoms.”

QUESTION 4

During gene expression, what must occur prior to a gene being expressed?

A. Transcription factor must bind to the regulatory region within the cell’s nucleus.

B. RNA must be converted to mRNA.

C. The coding region must separate from the regulatory region. This is wrong

D. RNA polymerase must inhibit the process of changing RNA to mRNA.

QUESTION 5

While genes have potential to modify behavior, behavior can also modify genes. How do genes impact this process?

A. Genes impact neuron functioning directly.

B. Changes made to proteins lead to changes in behavior.

C. Neurons are able to impact protein synthesis.

D. Genes impact the DNA of a cell, leading to changes in behavior.